HEDIS Analyst Job at Kforce Technology Staffing, Fairfield, CA

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  • Kforce Technology Staffing
  • Fairfield, CA

Job Description

Salary: $123,000 - 163,000 per year Requirements:

  • We are looking for someone with clear and effective communication skills.
  • We need strong critical thinking and problem-solving abilities.
  • We value excellent organizational skills and the ability to manage multiple priorities.
  • We need someone who can prioritize assignments and keep work on track.
  • We prefer candidates with HEDIS experience, especially in HEDIS audit support.
  • We prefer experience preparing audit deliverables and roadmap documentation.
  • We value the ability to implement performance strategies for the team.
  • We are seeking someone comfortable engaging stakeholders, including through provider webinars.
  • We need advanced Excel skills.
  • SQL experience is a strong plus, including building queries and reports.
  • Experience with DNSP or Medicare is a nice-to-have.
Responsibilities:
  • We prepare, analyze, report, and manage data used for both enterprise-wide and regional decision-making.
  • We use data to evaluate performance in key quality measures and support effective use of health plan resources.
  • We collaborate across the company to identify information needs, build and maintain data queries and tools, and deliver accurate reporting.
  • We maintain knowledge of data management and analytics systems, including both technical and user-facing interfaces.
  • We may oversee data integration into our data infrastructure and lead system-level user testing.
  • We use the Enterprise Data Warehouse and other sources to locate and isolate data for analysis.
  • We validate reports and manage key data sources to ensure completeness and accuracy.
  • We work with departments such as QI, IT, Finance, and Analytics, as well as external partners, to define business requirements and data needs.
  • We develop and execute data collection plans that establish baseline performance and measure the impact of interventions.
  • We analyze performance data, including trends and stratifications, to identify opportunities for improvement.
  • We provide actionable recommendations and communicate the impact of decisions to stakeholders.
  • We support project management for data-driven and performance improvement initiatives, including HEDIS, PDQ, pay-for-performance programs, and other assigned efforts.
  • We track multiple deliverables and work closely with the broader project team to keep work moving forward.
Technologies:
  • Data Warehouse
  • Excel
  • Support
  • SQL
  • AI
  • LESS

More:

We are supporting our client in Fairfield, CA in hiring a HEDIS Analyst to provide year-round support for auditing and program management. This role is part of a collaborative HEDIS team that works closely with internal departments and external stakeholders to improve quality performance and data-driven decision-making. We offer comprehensive benefits to eligible employees, including medical, dental, and vision coverage, HSA and FSA options, 401(k), and life, disability, and AD&D insurance. Salaried employees also receive paid time off, and our compensation practices are guided by business needs, experience, skills, education, and location. We are an equal opportunity employer committed to fair consideration for all qualified applicants.

last updated 20 week of 2026

Job Tags

Full time

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